Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queenolive Chinemerem Muoh

Individual provider Physician Assistant · NPI 1750231908

Queenolive Chinemerem Muoh is a Physician Assistant in Tustin, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

17612 17th St
Tustin, CA 92780-1962
Phone: (714) 243-5453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1750231908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address1731 E 120th St, Los Angeles, CA 90059-3051

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